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Updated: Jul 30, 2026
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[The stapler in total laryngectomy with closed technique].
M Manola1, L D'Angelo, F Longo
1Istituto Nazionale dei Tumori di Napoli, Fondazione G Pascale, Divisione di Otorinolaringoiatria.
Tumori
|August 9, 2003
Summary
The stapler-assisted closed technique for total laryngectomy is safe and effective, with a low complication rate. This method facilitates faster recovery and reduced operating time for endolaryngeal tumors.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Total laryngectomy is a surgical procedure for advanced laryngeal cancers.
- The closed technique aims to minimize complications.
- Stapler use in this procedure is an area of ongoing investigation.
Purpose of the Study:
- To describe and evaluate the use of a stapler in a closed technique for total laryngectomy.
- To assess the safety and efficacy of this surgical approach.
Main Methods:
- A retrospective review of 27 total laryngectomy procedures performed between October 1999 and December 2002.
- 15 procedures utilized a stapler with a closed technique.
- 5 cases involved primary tracheoesophageal puncture.
Main Results:
- A low incidence of complications was observed, with only one case of pharyngocutaneous fistula.
- All surgical margins were negative, indicating complete tumor removal.
- The stapler technique allowed for early nasogastric tube removal and reduced operating time.
Conclusions:
- Stapler-assisted total laryngectomy with a closed technique is a safe and viable option for completely endolaryngeal tumors.
- The technique offers benefits such as reduced operating time and faster patient recovery.
- This method appears comparable in safety to traditional suturing techniques.
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